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OT: Antibiotics?

Hey bigrand,

I just remembered that when I got my urine first tested the doctor said that they'd also do a "culture" on the urine to find any bacteria. I just now saw that that's what the "C" stood for in C&S. That was in the "microbiology" section of the urinalysis. However, I'll be going to the doc tomorrow and request another one, I guess. Last time I did it nothing showed up... I hope they'll find something this time. He'll probably get the same test done but I'm HOPING that C&S is something altogether seperate that they havn't done yet... man o man is this ever complicated. :(
 
JimmyPineapple said:
Hey bigrand,

I just remembered that when I got my urine first tested the doctor said that they'd also do a "culture" on the urine to find any bacteria. I just now saw that that's what the "C" stood for in C&S. That was in the "microbiology" section of the urinalysis. However, I'll be going to the doc tomorrow and request another one, I guess. Last time I did it nothing showed up... I hope they'll find something this time. He'll probably get the same test done but I'm HOPING that C&S is something altogether seperate that they havn't done yet... man o man is this ever complicated. :(

They already tested you, your correct, microbio C+S....if you were negative for bacteria, then dont worry about a UTI, and MOST likely, Prostatitis and epididymitis as in both conditions, bacteria is usually found in the urine (with prostatitis, a prostate massage before should allow bacteria in the prostate to come out with the urine better, if it is bacterial in nature).
What was your white cell count? Infections like these can cause increases in WBCs. If you are negative for bacteria again, i dont think you have an infection...as in the majority of the cases of your suspected illness, they are bacterial caused (sexually transmitted often).

What are ALL of your symptoms?


PS...
Next time, discuss with your Doctor what the WHOLE story is, they are more responsive to those who are active participants in their treatment. Tell them ALL your symptoms, be detailed, discuss options and what you know about your possible conditions. In my experience, people who go in there with SOME knowledge of their problems and are detailed get better responses. Too many people go in there and say "i fell shitty, whats wrong" and expect the Doc to figure it out from there.....the more you tell them, the more they have to work with and the easier it becomes to find the problem.
 
bigrand said:
They already tested you, your correct, microbio C+S....if you were negative for bacteria, then dont worry about a UTI, and MOST likely, Prostatitis and epididymitis as in both conditions, bacteria is usually found in the urine (with prostatitis, a prostate massage before should allow bacteria in the prostate to come out with the urine better, if it is bacterial in nature).
What was your white cell count? Infections like these can cause increases in WBCs. If you are negative for bacteria again, i dont think you have an infection...as in the majority of the cases of your suspected illness, they are bacterial caused (sexually transmitted often).

What are ALL of your symptoms?


PS...
Next time, discuss with your Doctor what the WHOLE story is, they are more responsive to those who are active participants in their treatment. Tell them ALL your symptoms, be detailed, discuss options and what you know about your possible conditions. In my experience, people who go in there with SOME knowledge of their problems and are detailed get better responses. Too many people go in there and say "i fell shitty, whats wrong" and expect the Doc to figure it out from there.....the more you tell them, the more they have to work with and the easier it becomes to find the problem.

Hi Bigrand and thanks again for the help!

I actually have a printed document file that I bring in with me and I tried to show my urologist but he barely even looked at it. I insisted on providing more information but he just dismissed most of it and asked a couple of questions and gave me a quick (ugh..) rectal exam and testicular exam. He basically confirmed that I have epididymitis predominatly in the left testicle as well as a mild case of prostatitis.

I'll start with the whole story. and I'd just like to point out that this was absolutely not sexually transmitted.

-In mid august I was working on the computer and was drinking a ton of water. I was feeling particularly lazy and was sitting in such a position that although I had the urge to pee, it didn't feel as "urgent" as it would have been in a normal sitting position. After downing a few litres of water, when I got up I suddenly felt a sharp pain in the pelvic area and barely made it to the bathroom. I peed (it took like 30 seconds before the stream started for some reason)

-the next day I had intense abdominal pain. I had twitching, burning and spasms everywhere from the pelvic region to the top of the abdominal region. also, when I pee'd, my prostate felt *confused* and started twitching and the flow of urine starts and stops intermitently like some broken clutch. I went immediatly to the local clinic and urine test determined that there was no blood in the urine, and a touch-exam of the abdominal region determined no inflamation or anything out of the norm. a blood test was also done

-about a week after this incident I felt my testicles hanging "lower" than usual. I started feeling the discomfort when I walked and especially when I was working out. on the lat pulldown machine it almost felt like I was sitting on my nuts every time I sat down which never happened before. shortly after this I started noticing two lumps forming on the top of my testicles (swelling of the epididymitis) that were painful to the touch and swole up and were especially painful during ejaculation

-2 weeks later I saw my regular doc and he prescribed me 2 weeks of antibiotics. I forget what type it was but it relieved the symptoms somewhat but they returned shortly after the antibiotic regimen was finished. the doc said that was that and I guess I had to live with what I had. by the way, the blood and urine results came back showing slightly elevated albumin & creatinine but the doc thought nothing of it. bacterial analysis also showed no sign of bacteria (this was before the antibiotics)

-about 4 months later (october) my symptoms were not getting any better so I saw a urologist. he prescribed me 6 weeks of Cipro which also somewhat relieved the symptoms but did not get rid of them. the urologist confirmed that I had prostatitis and epidydimitis. when I saw him a 2nd time he basically told me there was nothing else that could be done and appointed me to a therapist for prostate massage to relieve some of the symptoms as well as prescribed me celebrex to relieve the pain.

notes: something I noticed is that I have not had clear urine a single time since this incident. Prior to this happening, I very rarely had dark, foamy urine (it used to be 100% clear like water after drinking a glass of water or two), but now its a regular occurance no matter how much water I drink. I also had a renal scan done which also showed nothing out of the normal.

what's bothering me the most right now is the epidiymitis. although the pain isn't severe, it has significantly lowered my "output", my libido and it's constantly in the way and is affecting my sleep and every other aspect of my life. My testicles look weird as fuck and I just hate the idea that it might decrease my chances of having kids later, considering I'm only 19. my prostatitis isn't as bad if I lay off of the caffeine. I basically just have to urinate 5-6 times a night which is when the symptoms are the worst. the abdominal pains and stuff I can live with also..

Now it's been 6 months since I've been suffering from this shit and I don't know what else I can do. I inquired on a few forums and like I said, found a guy that was in the same situation as me and had epididymitis for 6 years and even Cipro hadn't killed it off until he found some doc in cali that he sent a prostatic fluid and urine sample to, had it analysed and was prescribed augmentin and amoxycillin to and got rid of it within 3 months...

I hope you made it this far, and if you have, I wanna thank you bro.

Please let me know what you think I should do
 
Just a FYI,
Augmentin IS amoxycillin, but with clavulenic acid added. Amox is a beta-lactam class anti-biotic and numerous bacteria are resistant to this class of anti-b becasue they can produce an enzyme called beta-lactamase which breaks the beta-lactam ring making the drug ineffective. Clavulenic acid binds to the enzyme so that the anti-b can work without being degraded. That is why you have this combo of clav and amox (called Clavamox in vet meds).

Im pretty sure the guy you talked to had a C+S of the prostate fluid and found an organism with resistance to beta-lactams and was given the combo. This could be your problem. C+S the prostate fluid. Look up Septra or Bactrim...they are the anti-bs with the ability to better enter the prostate. Clinically, 4-6 weeks use of those generally have a better cure rate than others becasue the others (Cipro) dont get in the prostate as well and the disease has a high reoccurance rate.

See where that goes. If you are still neg for bacteria, i would suggest going to a teaching hospital (medschool hospital), your case sounds acute and some things arent fitting. They are usually the best of the best there (if you were in cali, id suggest UCSF). Copy the post you just wrote above and use that for teaching hospitals, try emailing it to a Doc at UCSF or something.....thats if you cant get into a teaching hospital up there (its a long shot becasue Docs dont do internet medicine, but they might have an idea and could suggest something, worth a shot).
 
bigrand said:
Just a FYI,
Augmentin IS amoxycillin, but with clavulenic acid added. Amox is a beta-lactam class anti-biotic and numerous bacteria are resistant to this class of anti-b becasue they can produce an enzyme called beta-lactamase which breaks the beta-lactam ring making the drug ineffective. Clavulenic acid binds to the enzyme so that the anti-b can work without being degraded. That is why you have this combo of clav and amox (called Clavamox in vet meds).

Im pretty sure the guy you talked to had a C+S of the prostate fluid and found an organism with resistance to beta-lactams and was given the combo. This could be your problem. C+S the prostate fluid. Look up Septra or Bactrim...they are the anti-bs with the ability to better enter the prostate. Clinically, 4-6 weeks use of those generally have a better cure rate than others becasue the others (Cipro) dont get in the prostate as well and the disease has a high reoccurance rate.

See where that goes. If you are still neg for bacteria, i would suggest going to a teaching hospital (medschool hospital), your case sounds acute and some things arent fitting. They are usually the best of the best there (if you were in cali, id suggest UCSF). Copy the post you just wrote above and use that for teaching hospitals, try emailing it to a Doc at UCSF or something.....thats if you cant get into a teaching hospital up there (its a long shot becasue Docs dont do internet medicine, but they might have an idea and could suggest something, worth a shot).

very good info. not sure bout those teaching hospitals though. atleast dont go there say about julyish when all the ms4's are now interns lol im kidding ofcourse
 
Hey bigrand,

THANK YOU!

I have found a "university hospital" which I guess is the equivalent of what you mentionned. I live in Quebec, Canada so things are a bit different.

Judging by the website it looks quite reputable: http://www.chumontreal.qc.ca/

I'll make sure to call them first thing tomorrow.
 
Ill look some stuff up for ya in the next day or two, in the meanwhile, look into these places....teaching hospitals are generally more advanced thant standard care docs and specialists.

Get those WBCs checked, no signs of fever im guessing?
Celebrex isnt a good pain med for this. Its a rheumatologic NASID, selective COX-2 inhibitor primarily used for auto-immune rheumatoid arthritis....its a little harsh for you in my opinion.

Your condition is sounding more and more structural as opposed to bacterial considering it was acute in onset and your initial UA was negative for bacteria.

I actually have a meeting at UCSF on Thurs morning, i will see if i cant get any info out of someone.
 
bigrand said:
Ill look some stuff up for ya in the next day or two, in the meanwhile, look into these places....teaching hospitals are generally more advanced thant standard care docs and specialists.

Get those WBCs checked, no signs of fever im guessing?
Celebrex isnt a good pain med for this. Its a rheumatologic NASID, selective COX-2 inhibitor primarily used for auto-immune rheumatoid arthritis....its a little harsh for you in my opinion.

Your condition is sounding more and more structural as opposed to bacterial considering it was acute in onset and your initial UA was negative for bacteria.

I actually have a meeting at UCSF on Thurs morning, i will see if i cant get any info out of someone.

bigrand,

I literally cannot thank you enough for your time and help.

Let me know if you get any info. I'll be doing everything I can on my part that's for damn sure!

PS:

No fever... I havn't "felt" out of the ordinary other than having low libido but it doesn't stem from anything psychological. WBC was normal IIRC.

Here what was "out of the norm" on the blood tests, urine tests and 24h urine test:

MICROALBUMINE (24 HRS)
RESULT: 39
REFERENCE VALUE (UNDER 30) UNITS: mg/24h

--

MICROALBUMIN. RESULT: 10,2
REFERENCE VALUE (*) UNITS: mg/L

--

MICROALBUMIN (NORMALISED) RESULT: 2,2

REFERENCE VALUE: (0,0-2,0)

--

06/08/09
BLOOD ANALYSIS:

SERUM CREATININE: RESULT: 111

REFERENCE VALUE: (54-109) UNITS: umol/L

--

URIC ACID: RESULT: 460

REFERENCE VALUE: (153-459) UNITS: umol/L

--

ALBUMIN: RESULT: 53

REFERENCE VALUE: (35-52) UNITS: G/L


pps: I wasn't on creatine or even a high protein diet when these tests were done. I was off of diet and training completely.


-Y.
 
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